Test reports
Appendix
Report Function test vacuum type leak detector Site of facility
Company First name / last name Street Postcode / city
Product
LAZ-04/1 (HV)
Eurovac HV
LAZ-04/3 (NV)
Eurovac NV
Approval: Z-65.22-4 or CE or ÜHP Approval: Z-65.22-382 or CE or ÜHP
Serial number
Measurement
Checklist
Measurements of the switching points yielded the following results: Alarm on:
mbar
Pump on:
mbar
Alarm off:
mbar
Pump off:
mbar
Results of visual inspection of the system: Installation as per instructions, no visible damage.
When the pressure exceeded the alarm pressure, the device triggered visual and audible alarms.
W hen the test button was pressed, the device triggered visual and audible alarms.
The audible alarm can be acknowledged.
T he operation and alarm lamps function properly.
13
Condensate traps are installed at the lowest points of the hose lines. The condensate traps have been emptied, if necessary.
Date of test:
Specialised company (as per WHG (AwSV)):
Company First name / last name Street Postcode / city
Signature/stamp
www.afriso.com
437